The superficial infrapatellar bursa lies between the patellar tendon and the tibial skin, becoming inflamed from direct pressure during kneeling (Clergyman's knee). It is the superficial counterpart to the deep infrapatellar bursa which lies between the patellar tendon and the tibia.
Reduces friction between the patellar tendon and the skin during kneeling and direct contact
Superficial infrapatellar bursitis from occupational kneeling produces a fluctuant swelling over the patellar tendon at the tibial tuberosity level. It is distinguished from the deep bursa (which is not visible externally) by its superficial position anterior to the tendon. Aspiration and padding usually resolve it; surgical excision for chronic cases.
Superficial infrapatellar bursitis from kneeling producing anterior knee swelling managed with padding, aspiration, and activity modification.
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